If half your patients are on Medi-Cal Managed Care, your billing is not the same as a private-payer practice. Each MCP runs its own claim format, its own auth process, its own appeal window. LA Care, IEHP, Health Net, Anthem Partnership, CalOptima, Community Health Group, Partnership HealthPlan, San Francisco Health Plan, and a dozen others. Plus DHCS Fee-for-Service for crossover claims. Most billing companies treat Medi-Cal like a footnote. We treat it as our specialty.
Figures reflect 1st Medical Billing’s California book, trailing 12 months. Industry comparison: MGMA / HBMA published medians.
If a claim doesn’t get paid, we don’t get paid for it. No retainer, no per-claim fee, no monthly minimum. The math means we chase your denials like they’re our own.
We work every Medi-Cal Managed Care plan in California. LA Care and Health Net in LA County. IEHP and Molina in the Inland Empire. CalOptima in Orange County. Community Health Group and Molina in San Diego. Anthem Blue Cross Partnership across most of the state. Partnership HealthPlan in the North Bay and Solano. SF Health Plan in San Francisco. Each plan has its own auth rules, claim format, and appeals window. We know them all and we work them daily.
Not a ticket queue. Not a chatbot. The owner is on the line, or one ring away. You’ll know your account manager by name within the first week.
Send us your last 90 days of remits and aging report. Within a week we’ll send back a written read on what’s leaking and how much we’d recover.
We confirm credentialing is current with every CA payer you bill. Anything missing, we re-credential. Clearinghouse handoff happens behind the scenes.
Charges from your EMR start flowing into our system. Aging AR is worked in parallel. We don’t write off old claims to “start fresh.”
A real meeting, not a PDF. Numbers, trends, denials worked, what’s blocked, what we’re recommending.
Send us your aging report and last 90 days of remits. We’ll send back a written read inside a week. A real human picks up the call you place.
